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A Pre-Post Study of Individualized Programs Using the Occupational Therapy Intervention Process Model in a Psychiatric Hospital in Japan

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Publicado en:Cureus vol. 17, no. 6 (2025)
Autor principal: Imamoto Yusuke
Otros Autores: Orita Yasushi, Yoshikawa Hiromi, Tsukue Ryotaro, Tokumitsu Kenichi, Nagai Misaki, Yorozuya Natsuki, Fujimaki Koichiro
Publicado:
Springer Nature B.V.
Materias:
Japan
Occupational therapy
Goal setting
Mental institutions
Schizophrenia
Collaboration
Therapists
Social interaction
Intervention
Hospitalization
Mental disorders
Acceso en línea:Citation/Abstract
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Resumen:Background: Recent psychiatric treatment trends emphasize supporting individuals to live autonomously within the community, irrespective of the severity of mental illness. This study investigates the effects of individualized programs based on the Occupational Therapy Intervention Process Model (OTIPM) on occupational performance and social interaction skills among psychiatric inpatients.Methodology: This pre-post study included 90 clients (schizophrenia: 46, addiction: 15, mood disorders: 11, intellectual disability: 7, others: 11) hospitalized in a psychiatric facility. Participants underwent a maximum of 10 individualized sessions using OTIPM. Outcomes assessed were the Canadian Occupational Performance Measure (COPM), Assessment of Motor and Process Skills (AMPS), and Evaluation of Social Interaction (ESI). Statistical analyses included paired t-tests and Wilcoxon signed-rank tests.Results: Significant improvements were observed in COPM performance (p < 0.001, Cohen's d = 0.79), COPM satisfaction (p < 0.001, Cohen's d = 0.97), AMPS motor skills (p < 0.001, Cohen's d = 0.61), AMPS process skills (p < 0.001, Cohen's d = 0.59), and ESI scores (p < 0.001, Cohen's d = 0.72). Improvements were consistent regardless of the frequency of sessions or the length of hospitalization.Conclusions: Individualized interventions based on OTIPM may effectively enhance occupational performance and social interaction skills, providing valuable support for community reintegration among psychiatric inpatients.
ISSN:2168-8184
2154-4786
DOI:10.7759/cureus.86918
Fuente:Health & Medical Collection